SANTA CLARA COUNTY EMS PARAMEDIC
PROTOCOL TEST STUDY GUIDE 2026
◉ Medications given after release of crush injury. Answer: Albuterol
5mg in 6ml normal saline via nebulizer
Sodium Bicarbonate 1mEq/kg IV / IO, delivered over sixty (60)
seconds
Calcium Chloride 1gm IV / IO
and, for pain:
Morphine 2-5mg IV / IO if SBP > 100
◉ Consider 1,000ml fluid bolus for burns greater than _______ TBSA?.
Answer: 20%
◉ What do you do in the case of a disagreement between ALS
providers?. Answer: Call base.
◉ Only paramedics may contact the Base Hospital for direction.
, A. True
B. False. Answer: True (EMTs may not receive online medical
direction)
◉ Oral glucose (24g) repeated in how long?. Answer: Once after 15
mins if no change in PT condition
◉ Hazmat distance for small and large events?. Answer: 100 feet for
small and 500 feet for large
◉ How long to report level A variance?. Answer: Must be reported to
EMS Duty Chief IMMEDIATELY and to the EMS Agency within 24
hours on the EMS System Variance Report Form.
◉ Can you let out a competent adult during transport before arrival
at the ER?. Answer: yes
◉ What are you required to document in your report when you have
intubated?. Answer: 1. visualize the ETT pass over the bougie and
through the vocal cords (if visible)
2. confirm the presence of bilateral lung sounds and the absence of
epigastric sounds
3. have continuous capnography waveform while ventilating
PROTOCOL TEST STUDY GUIDE 2026
◉ Medications given after release of crush injury. Answer: Albuterol
5mg in 6ml normal saline via nebulizer
Sodium Bicarbonate 1mEq/kg IV / IO, delivered over sixty (60)
seconds
Calcium Chloride 1gm IV / IO
and, for pain:
Morphine 2-5mg IV / IO if SBP > 100
◉ Consider 1,000ml fluid bolus for burns greater than _______ TBSA?.
Answer: 20%
◉ What do you do in the case of a disagreement between ALS
providers?. Answer: Call base.
◉ Only paramedics may contact the Base Hospital for direction.
, A. True
B. False. Answer: True (EMTs may not receive online medical
direction)
◉ Oral glucose (24g) repeated in how long?. Answer: Once after 15
mins if no change in PT condition
◉ Hazmat distance for small and large events?. Answer: 100 feet for
small and 500 feet for large
◉ How long to report level A variance?. Answer: Must be reported to
EMS Duty Chief IMMEDIATELY and to the EMS Agency within 24
hours on the EMS System Variance Report Form.
◉ Can you let out a competent adult during transport before arrival
at the ER?. Answer: yes
◉ What are you required to document in your report when you have
intubated?. Answer: 1. visualize the ETT pass over the bougie and
through the vocal cords (if visible)
2. confirm the presence of bilateral lung sounds and the absence of
epigastric sounds
3. have continuous capnography waveform while ventilating
